11
American College of Cardiology -
National Cardiovascular Data Registry:
CathPCI Operational Environment
• >90% US PCI procedures, process and quality focus
• Relies on clinical documentation and “swivel chair”
interoperability (i.e., little structured reporting)
• NCDR data dictionary: clinical / operational focus, not data
standards (primarily name of concept, allowed values)
• No authoritative process to follow for developing data
elements as HIT standards (& no single repository)
• No consistent instrument for technical consumers (HIT
vendors, db developers): data elements, data capture
instruments, workflow engineering
• $10 million+ book of business $500 million+ site
expenditure (2000 sites, 2+ FTEs per site)